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95% CI, 0.70, 0.99), and nonfatal stroke (HR, 0.84

Standard starting doses First-time users: Men: Start with 1mg Women: Start with 0.5-0.75mg Assess tolerance and response Adjust after 1-2 trials Don't start high (unnecessary side effects ) Dose progression strategy: Why start low: Nausea common at higher doses (40-60%) Individual sensitivity varies widely Some respond strongly to low doses Can always increase (can't undo high dose) Better to build up than start too high Finding your optimal dose: Use lowest dose that produces desired effect Balance efficacy vs side effects Track each trial (dose, timing, response, sides) Most settle on one consistent dose Some vary based on situation See PT-141 for men nasal spray guide for detailed protocols